Home › Hospitals › Lake Region Healthcare - Elbow Lake Hospital Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-01.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450) $1,088.39
$1,714
10.1×
MRI brain without contrast (70551) $1,713.23
$2,698
7.0×
MRI brain without and with contrast (70553) $2,218.06
$3,493
6.2×
X-ray lower spine, 4+ views (72110) $238.13
$375
2.2×
MRI lumbar spine without contrast (72148) $1,711.96
$2,696
7.0×
CT pelvis with contrast (72193) $1,156.34
$1,821
6.4×
MRI lower-extremity joint without contrast (73721) $1,628.14
$2,564
6.6×
CT abdomen and pelvis with contrast (74177) $1,417.32
$2,232
3.9×
Ultrasound, abdomen complete (76700) $587.38
$925
5.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $441.96
$696
4.1×
Ultrasound, transvaginal (76830) $337.19
$531
3.1×
Mammography, one breast (diagnostic) (77065) $241.30
$380
2.8×
Mammography, both breasts (diagnostic) (77066) $314.33
$495
2.8×
Mammography, screening (bilateral) (77067) $269.88
$425
3.0×
Basic metabolic panel (80048) $128.91
$203
15.2×
Comprehensive metabolic panel (80053) $170.18
$268
16.1×
Lipid panel (80061) $153.04
$241
11.4×
Renal function panel (80069) $137.16
$216
15.8×
Hepatic function panel (80076) $213.36
$336
26.1×
Urinalysis, non-automated, without microscopy (81002) $19.69
$31
5.7×
PSA, total (84153) $116.84
$184
6.4×
Thyroid stimulating hormone (TSH) (84443) $76.84
$121
4.6×
CBC with automated differential (85025) $90.81
$143
11.7×
CBC, automated (85027) $112.40
$177
17.4×
Prothrombin time (PT) (85610) $46.99
$74
11.0×
Partial thromboplastin time (PTT) (85730) $62.55
$98.50
10.4×
Psychotherapy, 30 minutes (90832) $145.42
$229
0.8×
Psychotherapy, 45 minutes (90834) $190.50
$300
1.0×
Psychotherapy, 60 minutes (90837) $223.52
$352
1.2×
Family psychotherapy, without patient (50 min) (90846) $191.14
$301
1.0×
Family psychotherapy, with patient (50 min) (90847) $212.73
$335
1.2×
Group psychotherapy (90853) $158.12
$249
1.5×
Sleep study (attended polysomnography) (95810) $2,545.08
$4,008
2.9×
Physical therapy, therapeutic exercise (per 15 min) (97110) $111.13
$175
3.8×
Office visit, new patient (low complexity, ~30 min) (99203) $33.66
$53
0.2×
Office visit, new patient (moderate complexity, ~45 min) (99204) $53.98
$85
0.4×
Office visit, new patient (high complexity, ~60 min) (99205) $64.77
$102
0.5×
Preventive visit, new patient (age 18–39) (99385) $36.20
$57
—
Preventive visit, new patient (age 40–64) (99386) $43.82
$69
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As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
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